ATI RN
Vital Signs Assessment Chapter 7 Questions
Question 1 of 5
What physical exam finding will be observed in 'Saturday night palsy'?
Correct Answer: A
Rationale: Saturday night palsy, caused by radial nerve compression, results in wrist and finger drop.
Question 2 of 5
The nurse is performing an abdominal assessment and notes that the patient has a positive Murphy's sign. What condition is most likely present?
Correct Answer: B
Rationale: A positive Murphy's sign, where the patient experiences pain upon palpation of the gallbladder, suggests cholecystitis.
Question 3 of 5
Ms. Wright comes to your office, complaining of palpitations. While checking her pulse you notice an irregular rhythm. When you listen to her heart, every fourth beat sounds different. It sounds like a triplet rather than the usual "lub dup." How would you document your examination?
Correct Answer: C
Rationale: A regularly irregular rhythm, such as every fourth beat sounding different, is consistent with a pattern like a ventricular bigeminy or trigeminy.
Question 4 of 5
A 50-year-old woman presents with a history of sudden-onset leg pain and swelling. She has a recent history of prolonged immobility due to a recent surgery. What is the most likely diagnosis?
Correct Answer: A
Rationale: Sudden-onset leg pain, swelling, and a history of recent immobility are consistent with deep vein thrombosis (DVT).
Question 5 of 5
Which area of the fundus is the central focal point for incoming images?
Correct Answer: A
Rationale: The fovea is the area of the retina which is responsible for central vision. It is surrounded by the macula, which is responsible for more peripheral vision. The optic disc and physiologic cup are where the optic nerve enters the eye.